876 Trails End Rd - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaaall
City of Eagan, Minnesota
Property Address: ( (e i({ i s &A.&
COMPLIANCE WITH INITIAL INSPECTION
i This is to certify that the property listed above has been inspected by authorized City personnel on '4 _ 4 , 201
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
This is to certify that the property listed above has been found to be in compliance with Section 3 40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
fl City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box A checked„ (Based on a review of the Sewer Service video inspection /report an file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 1 kivv / \- e ..... / '/3 /; i
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010